Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim M Jackson, LISW

Individual provider Clinical Social Worker · NPI 1003126699

Kim M Jackson, LISW is a Clinical Social Worker in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2010.

Licensed in
OH
In the registry since
2010
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

3500 Carnegie Ave
Cleveland, OH 44115-2641
Phone: (440) 260-8554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I2506226 (OH)

Record details

NPI number1003126699
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedOctober 15, 2010
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

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